| NPI | 1881635845 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: UT 8710941-1205) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: ND 9708) |
| 208M00000X Hospitalist (Licence: UT 8710941-1205) | |
| Enumeration Date | 2006-06-09 |
| Last Update Date | 2021-08-09 |